PRIYATMA WIRTH Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292065

License Status

ACTIVE

Business

First Name

PRIYATMA

Last Name

WIRTH

Business Name

PRIYATMA WIRTH

Original Issue Date

08/27/2007

Effective Date

03/24/2026

Expiration Date

03/31/2028

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2026